| NPI | 1174351654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR OSMAN President 224-777-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |